| NPI | 1932422698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA20216) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NV PA1163) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2018-03-17 |